Kristen Leanne Blackwell, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP126519 Issued in TX

Practice address

2950 Dowlen Rd
Beaumont, TX 77706-7226

Phone

(409) 861-3413

NPI assigned

Oct 22, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beaumont Internal Medicine and Geriatric Assoc.Group PAC ID 9032195789, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pathfinder Home Health Home health agency, The Woodlands, TX, CCN 678058
• Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIAJAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beaumont Internal Medicine & Geriatric Assoc.

  • Geriatric Medicine (Internal Medicine) Physician
  • Beaumont, TX
  • NPI 1164430906
  Medicare reassignment Care Compare group NPD
• Baptist Physician Network

  • Specialist
  • Beaumont, TX
  • NPI 1558485532
  Medicare reassignment NPD
• Ahmad Medical PC

  • Internal Medicine Physician
  • Beaumont, TX
  • NPI 1720347370
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Health Southeast Texas

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1679557888
  Care Compare affiliation
• Pros Home Healthcare, Inc

  • Home Health Agency
  • Woodlands, TX
  • NPI 1760495584
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1144624933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 DOWLEN RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067226",
            "telephone_number": "409-861-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 DOWLEN RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067226",
            "telephone_number": "409-861-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "KRISTEN",
        "middle_name": "LEANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie M. Bishop, M.D.
• Kamal Chafic Bitar, D.D.S.
• BJ & M Healthcare Services, LLC.
• Jessica A Black, PA-C
• Jorge Washington Black, MD
• Sherri Blackwell, R. N.
• Maria Susan Blahey, MD
• Darryl Thomas Blalock, MD
• Kimberly Blanchard, LPA
• Martha Balfanz Bland, MS CCC-SLP

• Family Nurse Practitioner in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.